Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Puerto Rico for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Puerto Rico only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Puerto Rico (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Centro Medico Del Turabo Inc (NPI 1710107883)

Key Findings

Field	Value
Entity Type	Organization
Organization	Centro Medico Del Turabo Inc
Address	Hima San Pablo Caguas
City	Caguas
State	PR
ZIP	00725
Taxonomy	Multi-Specialty Clinic/Center
NPI Enumerated	April 30, 2007

Payer Source	Total Paid
Medicaid	$10.8M
Medicare	$0

CENTRO MEDICO DEL TURABO INC is effectively a Medicaid-focused provider: there is no Medicare billing on file and the provider reports $10.8M in lifetime Medicaid revenue, indicating a single‑payer concentration at present rather than a mixed Medicare/Medicaid payer mix. Analysts should treat Medicaid as the dominant and operationally material payer for this entity.

Revenue is highly concentrated in a small set of emergency and inpatient evaluation-and-management codes: the top 3 Medicaid codes (99283, 99281, 99232) account for 49.9% of the provider's total Medicaid revenue, with 99283 alone contributing $2.8M (27.4% of Medicaid revenue). This concentration suggests that a few high-volume E/M services drive nearly half of all Medicaid receipts.

The code mix and volumes point to an emergency-department and inpatient/observation–oriented operating model: 99283 shows 80.9K claims at $35 avg paid/claim for $2.8M revenue, 99281 shows 78.8K claims at $15 avg paid/claim for $1.2M revenue, and 99232 shows 39.2K claims at $29 avg paid/claim for $1.1M revenue. These large claim counts and the dominance of ED and subsequent inpatient care codes indicate the site handles very high acute-care throughput rather than primarily low-volume specialty procedures.

State-level competitive standing is strong and concentrated in ED and hospital follow-up codes: 99283 ranks #3 of 495 in-state (100th percentile; extreme outlier), 99281 ranks #1 of 92 (100th percentile; extreme outlier), and 99232 ranks #2 of 456 (100th percentile; extreme outlier). In short, for core E/M codes this provider is a dominant outlier in Puerto Rico and is far above typical state volume.

Ancillary imaging and diagnostic services provide meaningful Medicaid revenue and support acute care throughput: 93306 generated $484.7K (4.7% of Medicaid revenue) with 3.1K claims, 74177 generated $311.4K (3.0%) with 5.6K claims, and 70450 generated $199K (1.9%) with 8K claims. The presence of high-volume CT, echocardiography, and head CT codes alongside ED visits suggests on-site imaging capacity that complements emergency and inpatient care.

The provider also reports significant outpatient consults and clinic visit volume beyond ED care: 99243 generated $584.7K (5.7% of Medicaid revenue) and ranks #1 of 154 providers in-state (100th percentile; extreme outlier), while 99213 produced $696.5K (6.7%) and ranks in the 96th percentile for the state. These figures indicate a notable ambulatory/consultation footprint in addition to the acute-care work.

Operational profile shows a mix of low-acuity throughput and higher-intensity services: very large counts of low-level ED visits (99281 and 71045 with 31.3K claims at $5 avg paid/claim for $156.6K revenue, ranked #3 of 215, 99th percentile; extreme outlier) coexist with moderate- and high-intensity E/Ms (99284, 99285, 99232). This combination points to simultaneously high patient volume and capacity to deliver a range of acuity levels on the same site.

The provider is an established market participant with nearly two decades of active enrollment: NPI enumerated 2007-04-30 (~19 years ago). Given its $10.8M Medicaid footprint, high statewide ranks on multiple codes, and top-code revenue concentration, payers and network planners should view CENTRO MEDICO DEL TURABO as a long-standing, high-volume Medicaid partner whose services (especially ED/observation and related diagnostics) carry outsized importance in-state.

Medicaid: Complete Services Breakdown

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

92 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	80,890	$40	$2.8M
99281	The provider sees a patient for the lowest level emergency department visit.	78,790	$20	$1.2M
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	39,240	$30	$1.1M
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	20,490	$30	$696.5K
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	9,860	$70	$650.5K
99243	The provider sees a patient for an office or other outpatient consultation involving evaluation and management (E/M). The E/M involves a low level of medical decision making or the provider spends at…	11,240	$50	$584.7K
93306	The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…	3,070	$160	$484.7K
74177	The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	5,560	$60	$311.4K
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	5,130	$60	$307.5K
99203	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the provider…	5,660	$50	$254.8K

Showing 1–10 of 92

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Puerto Rico providers billing the same CPT/HCPCS codes.

Claims Volume vs. Puerto Rico Distribution

Centro Medico Del Turabo Inc — 15 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Puerto Rico

Full comparison — all codes billed, vs. Puerto Rico median

92 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99292	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	2	10	80	$330	$446.1K
93458	In this procedure, the provider performs imaging supervision and interpretation for a coronary angiography with left heart catheterization and intraprocedural injections for left ventriculography. He…	12	40	80	$680	$318.5K
74176	The provider performs computed tomography of the abdomen and pelvis without contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	20	80	900	$110	$242K
93306	The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…	19	210	380	$210	$230.1K
74177	The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	4	70	730	$110	$178.7K
78452	In this procedure, the provider performs multiple SPECT studies of the heart to determine the areas of deficient blood flow. The goal of the procedure is to determine areas that have deficient blood…	11	20	260	$250	$174.9K
77067	The provider takes two X–ray views of each breast for routine screening and may use specially designed computer software to help identify any potential abnormalities within the images; the software…	94	150	1,180	$70	$170.3K
43239	The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis.	36	110	270	$280	$148.1K
76641	In this procedure, the provider performs a complete ultrasound of one breast. The procedure includes documentation of the images.	58	180	890	$70	$145.5K
70450	The provider performed computed tomography, or CT scanning, of the head or brain, without contrast. He performs the procedure to diagnose any brain or intracranial abnormalities.	4	80	1,150	$50	$125.5K

Showing 1–10 of 92

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
John Danet	PR	Pediatric Emergency Medicine (Pediatrics) Physician	$0	$2.7M
Luis Acosta	PR	Pediatrics Physician	$0	$2.2M
Jesus Romero Perez	PR	Diagnostic Radiology Physician	$8.1K	$1.4M
Pedro Rivera Caballero	PR	General Practice Physician	$3.1K	$1.3M
Juan Benitez Santana	PR	General Practice Physician	$3.6K	$1.3M
Francisco Menendez Diaz	PR	General Practice Physician	$0	$986.8K
Jose Rivera Velazquez	PR	Pediatrics Physician	$0	$818.4K
Rejee Areeckal	PR	General Practice Physician	$0	$704.1K
Zoraida Estela Jove	PR	Diagnostic Radiology Physician	$18.1K	$255.1K
Juan Malpica-santiago	PR	Pulmonary Disease Physician	$33.2K	$148.3K

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Laboratorio Clinico Borinquen, Inc	PR	Clinical Medical Laboratory	$1.4M	$37.1M
Msl Therapeutical Services, Psc	PR	Occupational Therapist	$0	$12.8M
Laboratorio Clinico Bairoa Inc	PR	Clinical Medical Laboratory	$271.3K	$11.3M
Mediko Imaging Inc.	PR	Radiology Clinic/Center	$0	$6.8M
Consolidated Radiology Complex Csp	PR	Radiology Clinic/Center	$0	$6.8M
Caribbean Heart Institute LLC	PR	Clinical Cardiac Electrophysiology Physician	$0	$5.7M
Nuscan Csp	PR	Nuclear Medicine Physician	$0	$5.5M
Conmed Laboratories Inc	PR	Clinical Medical Laboratory	$105.5K	$5.4M
Sps Specialty Pharmacy Services Inc	PR	Specialty Pharmacy	$0	$4.2M
Advanced Hematology And Oncology Of Puerto Rico	PR	Hematology & Oncology Physician	$0	$3.6M

Centro Medico Del Turabo Inc — Billing Profile & Reimbursement Data

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Centro Medico Del Turabo Inc — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References